<%-- 
    Document   : tambahAkun
    Created on : 04 Jan 12, 7:07:11
    Author     : Zaza
--%>

<%@page contentType="text/html" pageEncoding="UTF-8"%>
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
   "http://www.w3.org/TR/html4/loose.dtd">

<html>
    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
        <title>Silahkan isi data di bawah untuk menjadi member Apoltek</title>
    </head>
    <body>
        <h2><%=(request.getAttribute("message"))%></h2>
        <form action="tambahAkun" method="POST">
            <label>Username : </label><br />
            <input type="text" name="username" value="" /> <input type="hidden" name="act" value="add" /> <br />
            <label>Password : </label><br />
            <input type="password" name="password" value="" /><br />
            <label>Nama : </label><br />
            <input type="text" name="name" value="" /><br />
            <label>Alamat : </label><br />
            <input type="text" name="address" value="" /><br />
            <label>No. Telepon : </label><br />
            <input type="text" name="telephone" value="" /><br />
            <label>No. HP : </label><br />
            <input type="text" name="handphone" value="" /><br />
            <label>Email: </label><br />
            <input type="text" name="email" value="" /><br />
            <input type="submit" value="Register" />
        </form><br/>
        <a href="home">Kembali Ke Halaman Utama</a>
    </body>
</html>
